Hip or knee replacement (inpatient stay)
Facility: Brigham and Women's Hospital
Billing Code: 470 (MS-DRG)
Highest price of the 9 MA hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 MA hospitals with a price for this procedure. Full list below.
⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.
A fair price for a Hip or knee replacement (inpatient stay) is about $17,967 (about 1.3× the $14,044 Medicare rate). Brigham and Women's Hospital charges insurers about $20,982, or about $63,826 in cash — above the fair price. Located in Boston, MA.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $17,967. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $17,616 | 125% |
| Blue Cross Blue Shieldmajor | $18,747 - $23,216 | 133% |
| Humanamajor | $23,216 | 165% |
| Tufts Health Plan | $17,616 | 125% |
| + 3 smaller / regional plans | $17,975 - $23,216 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Brigham and Women's Hospital
Compare: Hip or knee replacement (inpatient stay) at other MA hospitals
- The Shriners' Hospital for Children - Boston · Boston $12,252
- Beth Israel Deaconess Hospital - Milton · Milton $13,752
- Metrowest Medical Center · Framingham $14,509
- Heywood Hospital - · Gardner $16,386
- Emerson Hospital - · W Concord $16,445
- Winchester Hospital · Winchester $16,517
- Anna Jaques Hospital · Newburyport $16,740
- Holyoke Medical Center · Holyoke $16,772
Insurance negotiated median for the same procedure, sorted lowest first.